【方歌】眼丹眼胞上下生，红热肿痛软偏风，焮热紫硬偏于热，
荆防败毒服有功。
【注】此证由脾胃湿热，受风而成，红肿疼痛。若肿软下垂，
不能视物者，偏于风盛也，浮肿易消；若焮红色，紫坚
硬者，偏于热盛也，肿硬难消。初起俱宜荆防败毒散散
其风。口渴便燥者，宜内疏黄连汤泻其热；有日久消之
不应者，宜服透脓散，脓熟针之。肿用如意金黄散洗之
，溃用琥珀膏或白膏药贴之。此证宜速溃，迟则溃深穿
透眼胞，成瘘难敛。
方剂：荆防败毒散（见项部脑疽）
内疏黄连汤、如意金黄散、透脓散（俱见肿疡门）
琥珀膏（见头部发际疮）
白膏药（见溃疡门）
【方歌】针眼眼睫豆粒形，轻者洗消脓不成，甚则赤痛脓针愈，
砍后风侵浮肿生。
【注】此证生于眼皮毛睫间，由脾经风热而成，形如豆粒有尖
。初起轻者宜用如意金黄散，盐汤冲洗，脓不成即消矣
。风热甚者，色赤多痛，洗之不消，脓已成也，候熟针
之，贴黄连膏。亦有破后邪风侵入疮口，令人头面浮肿
、目赤涩痛者，外仍洗之，内服芎皮散即愈。
方剂：芎皮散
组成：川芎（二两）青皮（一两）
共为末，每服二钱，菊花汤调服。外以桔矾末，鸡
子清调敷肿处。又用南星末，同生地黄捣膏，贴太阳穴
自消。
【方歌】芎皮散内用川芎，青皮减半用最灵，为末菊花汤调服，
医治针眼自成功。
又方：如意金黄散（见肿疡门）
黄连膏（见鼻部鼻疮内）
【方歌】眼丹生于眼睑上下，表现为红、热、肿、痛。若肿胀柔软下垂，多属风邪偏盛；若焮红肿硬，多属热邪偏盛。服用荆防败毒散（Jingfang Baidu San, Jingfang Decoction for Overcoming Toxins）疗效显著。
【注】此病证由脾胃湿热受风邪侵袭所致，表现为红肿疼痛。如果肿胀柔软下垂，导致不能视物，说明风邪偏盛，浮肿容易消退；如果焮红色且紫黑坚硬，说明热邪偏盛，肿胀坚硬难以消退。初起时均宜用荆防败毒散疏散风邪。若有口渴、大便干燥者，宜用内疏黄连汤（Neishu Huanglian Tang, Internal Purging Coptis Decoction）泻火清热；若日久消散无效者，宜服用透脓散（Tounong San, Pus-Permeating Powder），待脓液成熟后针刺排脓。肿胀未溃时用如意金黄散（Ruyi Jinhuang San, Ruyi Golden Yellow Powder）洗敷，溃破后用琥珀膏（Hupo Gao, Amber Ointment）或白膏药（Baigaoyao, White Plaster）贴敷。此病证宜尽早溃破排脓，若拖延则溃烂加深穿透眼睑，形成瘘管难以愈合。
方剂：荆防败毒散（见项部脑疽章节）
内疏黄连汤、如意金黄散、透脓散（均见肿疡门章节）
琥珀膏（见头部发际疮章节）
白膏药（见溃疡门章节）
【方歌】针眼生于眼睑睫毛间，形状如豆粒。轻症冲洗即可消除，脓液不成形；重症则赤痛，脓液成熟后针刺可愈。若切口后风邪侵入，会导致浮肿生成。
【注】此病证生于眼皮睫毛之间，由脾经风热所致，形状如豆粒且有尖端。初起轻症宜用如意金黄散，以盐水冲洗，脓液未成形即能消退。若风热严重，色赤疼痛明显，冲洗无法消退，说明脓液已成熟，待其成熟后针刺排脓，并贴敷黄连膏（Huanglian Gao, Coptis Ointment）。也有破溃后邪风侵入疮口，导致头面浮肿、目赤涩痛者，外仍冲洗患处，内服芎皮散（Xiongpi San, Ligusticum Peel Powder）即可痊愈。
方剂：芎皮散
组成：川芎（Chuanxiong Rhizome, 二两）、青皮（Qingpi, Green Tangerine Peel, 一两）
共研为细末，每次服用二钱，用菊花汤调服。外用桔矾末（Jiefan Mo, Alum and Stibnite Powder），用鸡蛋清调匀敷于肿胀处。另用南星末（Nanxing Mo, Arisaema Powder），同生地黄（Shengdihuang, Rehmannia Root）捣成膏状，贴敷于太阳穴（Taiyang Acupoint），可自行消退。
[Prescription Verse] Yan Dan (Eyelid Carbuncle) arises on the upper and lower eyelids, presenting with redness, heat, swelling, and pain. If the swelling is soft and drooping, it indicates a predominance of Wind pathogen; if it is inflamed, red, purple, and hard, it indicates a predominance of Heat pathogen. Taking Jingfang Baidu San (Jingfang Decoction for Overcoming Toxins) yields effective results.
[Annotation] This condition is caused by Damp-Heat in the Spleen and Stomach combined with Wind invasion, manifesting as redness, swelling, and pain. If the swelling is soft and drooping, impairing vision, it suggests a predominance of Wind, where edema is easy to resolve; if it is inflamed, red, purple, and hard, it suggests a predominance of Heat, where swelling and hardness are difficult to dissipate. In the initial stage, Jingfang Baidu San should be used to disperse Wind. For those with thirst and dry stools, Neishu Huanglian Tang (Internal Purging Coptis Decoction) should be used to purge Heat. For cases that do not resolve after a long duration, Tounong San (Pus-Permeating Powder) should be taken, and once the pus matures, it should be punctured with a needle. For unbroken swelling, apply Ruyi Jinhuang San (Ruyi Golden Yellow Powder) for washing; for broken sores, apply Hupo Gao (Amber Ointment) or Baigaoyao (White Plaster). This condition requires early ulceration/drainage; delay may lead to deep penetration through the eyelids, forming a fistula that is difficult to heal.
Prescriptions: Jingfang Baidu San (see Neck Carbuncle section); Neishu Huanglian Tang, Ruyi Jinhuang San, Tounong San (all see Swelling Ulcer section); Hupo Gao (see Head Hairline Sores section); Baigaoyao (see Ulcer section).
[Prescription Verse] Zhen Yan (Stye) appears between the eyelashes in the shape of a bean grain. Mild cases can be washed away without pus formation; severe cases involve redness, pain, and require puncture once pus matures for healing. If Wind invades after incision, swelling may develop.
[Annotation] This condition occurs between the eyelid hairs and lashes, caused by Wind-Heat in the Spleen Meridian, resembling a bean grain with a pointed tip. In mild initial cases, apply Ruyi Jinhuang San and rinse with salt water; if pus has not formed, it will subside. If Wind-Heat is severe, with redness and significant pain, rinsing fails to resolve it, indicating mature pus; puncture when ready and apply Huanglian Gao (Coptis Ointment). In some cases, after rupture, evil Wind invades the wound, causing facial swelling and red, gritty eyes. Externally continue rinsing; internally take Xiongpi San (Ligusticum Peel Powder) for recovery.
Prescription: Xiongpi San
Composition: Chuanxiong Rhizome (2 liang), Qingpi (Green Tangerine Peel, 1 liang).
Grind into powder. Take 2 qian per dose, mixed with Chrysanthemum Tea. Externally, mix Jiefan Mo (Alum and Stibnite Powder) with egg white and apply to the swollen area. Alternatively, mix Nanxing Mo (Aricaemia Powder) with Shengdihuang (Rehmannia Root) to make a paste and apply to the Taiyang Acupoint (Ex-HN5) for spontaneous resolution.
[Prescription Verse] Xiongpi San contains Chuanxiong, with half the amount of Qingpi being most effective. Taken as powder mixed with Chrysanthemum Tea, it successfully treats Styes.
Alternative Prescription: Ruyi Jinhuang San (see Swelling Ulcer section); Huanglian Gao (see Nasal Sores section).